HomeMy Public PortalAbout5824-5824 1/2-5826TEMPLE CITY BLVD_Plumbing (2) D.B.S.17 2SM SL-rB 2-47 APPLICATION FOR PERFIM
- M"WTHENT OF BUILDING AND
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COUNTY OF LOS ANGELES PLUMBING7
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NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE
7 P RMt O.
ROUGHFIXTURES COMPLETE J ` s—
_ R IVSD BY READY FOR DATE ISSUED
HBATER CESSPOOL SEPTIC TANK r FIRST INSPECTION
AS
MISCELLANEOUS
/J J.'APPIdOANT FILL I14 HEAVILY OUTLINED PORTION ONLYJoe
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A, NAME'" /'/(�/t�`�\�s1�rr ,�++ ADDRESS /fss/
ADDRESS fl _A LOCALITY`� If
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1 .Ci (�l�r°s of TEL.N'. CROSS BT. .I.a,1-rlt.a+<1/L�``'
COUNTY //
CERT.No.G?U %' EXPIRES TC NAME//
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL —
NORTH O ADDRESS
CITY TEL.No.
I I AM THE LEGAL POSSESSOR OF„s'THE. ABOVE LOS
ANGELES.COUNTY CERTII IIC/\TB OF QUALIFICATION.
`"'•' '"' PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a '
OWNER
CORRECTIONS /
.l/TJ 99 '
_e J w 7! O
SOUTH C 19Y,I/Q '
DESCRIPTION OF-�VORS Z
BATH TUB FURNACE 0`
HOWER DISHWASHER 13
6�Y J
.LAVATORY Ueoo" REFRIGERATOR
o _
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK __FLOOR DRAIN
WASH TRAY URINAL APPROVALS
— _WATER CLOSET DRINKING FOUNTAIN DATE INBPECMR'S NAME
WATER NEATER - DENTAL LAVATORY ROUGH PLUMBING
METER C SODA FOUNTAIN GAS PIPING
GAS VENT
CESSPOOL
t TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOCI SEPTIC TANK SEWER
t✓ J �
U'T'ILITY CO.NOTIFIED
a TOTAL FEE -
�' FINAL